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Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount – no one quite knows for sure – might be lost to fraud. But the relationship between health care fraud and the U.S. health care system is far more complex than might first appear. Would-be “fraudsters” are not the only ones who respond to the financial incentives in the system. Due to the unique nature of the laws used to pursue health care fraud, both public and private prosecutors also follow the money in choosing their targets and both may share in the spoils of a successful prosecution. Perceptions about the money lost to health care fraud also have enormous influence on policymakers, as exemplified by the recent health care reform debate. In short, money may drive health care fraud, but not all roads lead in the same direction. This essay explores three different perspectives on the ways in which health care fraud “follows the money” – the would-be perpetrators of fraudulent schemes, the public and private prosecutors who pursue fraudulent activities, and the policymakers who work to prevent fraud and recapture lost funds for legitimate program purposes.

Mandatory Pension Contributions:
Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean National Pension Scheme with only a few exceptions. If you fall within one of the following categories, you do not have to be enrolled in the NPS and you do not have to pay the contributions:
1. You are a citizen of one of the 17 nations that do not mandate Korean citizens working in your country to pay into its pension plan: Armenia, Bangladesh, Cambodia, Egypt, Ethiopia, Fiji, Iran, Maldives, Myanmar, Nepal, Pakistan, Saudi Arabia, Singapore, South Africa, Tonga, Vietnam.
2. You are in one of the following categories: culture & art, study abroad, industrial training, general training, religion, etc.
3. You are over 60 years of age

Calculation of Pension Contribution:
The law requires that Korean and Foreign workers be treated equally. According to the NPS, “…there is no discrimination in terms of the benefit amount and remitting benefit abroad, etc.” The contribution is calculated by multiplying the worker’s reported (by the employer) monthly income by the 9% rate (between minimum W220,000 and maximum W3,600,000). Both the employer and the employee each pay an equal amount of the required 9% contribution. The employer deducts 4.5% from the employee’s wage and must make the matching 4.5% contribution payment at the same...

SEOUL (AFP) - South Korean police said on Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims.

Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won (S$1.16 million) from insurance firms between 2007 and 2010.

While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said.

Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North.

This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the “intangible right to honest services,” has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration’s emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

The latest Brookings Institution tracking index shows that the world economy is

still on life support from central banks and has worsen since the last autumn

even with some current signs of stabilization.



According to the TIGER (Tracking Indices for the Global Economic Recovery)

index, economic flaws extends crossways the Group of 20 leading economies

but advanced economies have deteriorated more than developing countries. As

reported in Springhill Group Home the outlook for growth and jobs has

become more hesitant almost everywhere except in the US although financial

markets recovered significantly in the first quarter of the year as investors

welcomed the European Central Bank’s massive injection of liquidity into the

euro zone’s banks. Professor of the Brookings Institution, Eswar Prasad stated

on the latest news of Springhill Group Home that due to the lack of robust

demand, policy tools that are stretched to their limits and unable to muster

much traction and enormous risks posed by weak financial systems because of

such scams and political uncertainty remains stammering. The TIGER index joins

actions of real economic activity, financial variables and indicators of

confidence according to what is the degree to which they are all movi...

Embattled Rupert Murdoch’s empire, News Corp. appears to be planning a

spin-off of its core businesses.



Its own flagship newspaper, The Wall Street Journal, has reported this week

that the company’s board is considering a proposal that will make its

publishing arm into a separate company.



Springhill Group Home analysts expect such separation of assets would appease

regulators and could help it to avoid selling a USD 6.9 billion stake.

Fortunately, the same became true for investors as the announcement was met

with the rallying of News Corp’s stock to 8.3% high — the highest level it has

reached since 2007.



“News Corp. has one of the best TV businesses, but some people like musty,

dusty publishing companies that pay great dividends. It’s a good thing for

shareholders.” said an analyst from Lazard Capital.



The media conglomerate has not yet specified which business units would be

grouped together but the company is reportedly mulling to separate the

entertainment operations from the book and newspaper publishing one.



News Corp’s publishing business brought in USD 8.8 billion in profit last year,

accounting for about 7% of the company’s enterprise value or 24...

China And The Dual Use Scam:South Korea Group of Springhill
April 26, 2012: The United States is openly accusing China of supplying North Korea’s missile program with components and technology. This may have something to do with intense effort to recover components of the failed North Korean rocket launch on April 13th. The debris of the rocket fell into shallow water off the west coast of South Korea. Russian, Chinese, and American ships, and perhaps submarines, also joined the search. South Korea called off its search on the 17th but the U.S. appeared to be continuing. The water where the debris fell is no deeper than 100 meters (310 feet), making it easy to search for and recover parts of the rocket. If some of those recovered components can be identified as Chinese there could be problems. .continue reading
South Korea Group of Springhill : Omaha Time Capsule: Church hit by explosion
What happened in the Midlands on this day? Here’s a sampling from the World-Herald archives.
ST. PETER’S CHURCH HIT BY EXPLOSION
March 31, 1936: Dozens of windows were shattered in surrounding buildings and a number of persons were knocked off their feet by a terrific blast in the boiler room of St. Peter church. Firemen think gas accumulated in the flue, ignited and exploded. No damage was done to the furnace and boiler. Carl Schrattenberger, engineer, who was firing the boiler at the time, escaped without injury. He was hurled 15 feet. Persons in the vici...

SPRINGHILLCARE'S BLOGSPOT - GROUP OF SPRINGHILL SOUTH KOREA - In today’s economic climate, who will help you protect your company and your clients from the devastating impact of fraud?
Fraud can creep into your business in a number of ways.
You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution.
A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to:
• Investigate allegations against one of your employees
• Recommend strong anti-fraud internal controls
• Conduct interviews related to sensitive issues
• Provide assistance with financial dispute resolution
• Resolve irregularities discovered during your company’s audit
• Provide expert testimony on financial and investigative matters
A Unique Set of Skills
Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud.
CFEs work in a variety of disciplines including accounting, auditing, fraud investigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution.
CFEs are knowledgeable in four areas critical to the fight against fraud:
• Fraudulent Financial Transactions ...